A patient breathing spontaneously through a tracheostomy tube has an oxyhemoglobin level of 88% on room air. which of the following would best assist this patient? Group of answer choices Obtain chest radiograph Obtain arterial blood gas for ventilation assessment Oxygen therapy with T-Piece or trach collar at 40% Maintain current therapy

During medical rounds the physician asks the therapist to determine if a patient can tolerate weaning from mechanical ventilation. the following information is obtained: SIMV mode Mandatory rate 10/min Total rate 10/min Vt 650 ml FiO2 0.40 PEEP 5 cmH2O Shortly after the therapist reduces the mandatory rate, the low exhaled volume and high rate […]

An adult patient is receiving external cardiac compressions and manual ventilation. when cardiac compressions are momentarily discontinue the patient is pulseless and the ECG shows the following pattern: ekg strip.jpg The most appropriate action at this time would be to: Group of answer choices Administer 2 ampules of sodium bicarbonate Stop CPR Give atropine sulfate […]

A 80 kg (176 lbs) patient suffered a cardiorespiratory arrest two weeks ago. Since that time the patient has had an endotracheal tube in place and has been in assist-control mode at a Vt of 700 ml, rate 12 bpm, and a FiO20.35. His ABG shows pH 7.37, PaCO2 43, PaO2 85. NIP is -5 […]

A patient is being weaned from continuous mechanical ventilation and the following data is recorded during the weaning period: 8 a.m. 9 a.m. 10 a.m. 12 p.m. 4 p.m. Vt 650 ml 650 ml 650 ml 650 ml 650 ml Mode A/C A/C SIMV SIMV SIMV Rate 12 12 8 6 4 FiO2 0.60 0.50 […]

patient with a flail chest has been placed on a volume cycled ventilator in the emergency room at the following settings: Vt 650 ml A/C 12/min FiO2 0.40 PEEP 5 cmH2O Patient rate 20/min BP 128/68 torr Heart rate 120 bpm The patient is conscious and very agitated. The high pressure alarm is sounding with […]

Which of the following drugs would be indicated for a 10-year-old patient with asthma who presents to the emergency room with acute, extrinsically-induced bronshospasm? Montelukast Epinephrine Aminophylline Cromolyn sodium Levalbuterol Group of answer choices 2, 3, and 5 only 1 and 5 only 1, 3, and 5 only 2 and 4 only

A therapist is administering IPPB to a patient using a Bird Mark 7 ventilator. The patient slumps over in bed and does not cycle the machine. Which of the following would be appropriate for the therapist to do at this time? Manually cycle the ventilator Turn the expiratory control timer so that the machine delivers […]

A patient’s x-ray shows diffuse infiltrates in the lower lobes, auscultation reveals coarse rhonchi and crackles bilaterally, and has a slight temperature is noted. Which of the following should the therapist recommend to improve her ventilation? Group of answer choices Pulmonary drainage and percussion Ultrasonic nebulizer Continuous ventilation Oxygen therapy

Lisa is employed in a laboratory where she is responsible for handling a variety of chemicals. On a particular day, she accidentally spills a corrosive chemical on her hand. Without delay, she promptly informs her supervisor and swiftly makes her way to the closest emergency station. Which one of the following steps should Lisa’s supervisor […]